NPI | 1881725638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 17703) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 10851) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2022-04-08 |